<!DOCTYPE html>
<html>
<head>
    <meta charset="UTF-8">
    <title>寄件</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width,user-scalable=yes, minimum-scale=0.4, initial-scale=0.8,target-densitydpi=low-dpi"/>
    <link rel="shortcut icon" href="../../../images/favicon.ico" type="image/x-icon"/>
    <link rel="stylesheet" href="../../../css/font.css">
    <link rel="stylesheet" href="../../../css/xadmin.css">
    <script type="text/javascript" src="../../../js/jquery-3.2.1min.js"></script>
    <script type="text/javascript" src="../../../lib/layui/layui.js" charset="utf-8"></script>
    <script type="text/javascript" src="../../../js/xadmin.js"></script>
    <script src="https://cdn.staticfile.org/html5shiv/r29/html5.min.js"></script>
    <script src="https://cdn.staticfile.org/respond.js/1.4.2/respond.min.js"></script>
</head>
<body>
<div class="x-body">
    <form class="layui-form">
        <div class="layui-form-item">
            <label class="layui-form-label">
                <span class="x-red">*</span>寄件人
            </label>
            <div class="layui-input-inline">
                <input type="text" name="express_sendname" required="" lay-verify="required"
                       autocomplete="off" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">
                <span class="x-red">*</span>寄件人联系方式
            </label>
            <div class="layui-input-inline">
                <input type="text" name="express_sendphone" required="" lay-verify="required"
                       autocomplete="off" class="layui-input">
            </div>

            <div class="layui-form-item">
                <label for="username" class="layui-form-label">
                    <span class="x-red">*</span>收件人联系方式
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="username" name="username" required="" lay-verify="required"
                           autocomplete="off" class="layui-input">
                </div>
            </div>
            <div class="layui-form-item">
                <label for="phone" class="layui-form-label">
                    <span class="x-red">*</span>手机
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="phone" name="phone" required="" lay-verify="phone"
                           autocomplete="off" class="layui-input">
                </div>
            </div>
            <div class="layui-form-item">
                <label for="username" class="layui-form-label">
                    <span class="x-red">*</span>收货地址
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="username" name="username" required="" lay-verify="required"
                           autocomplete="off" class="layui-input">
                </div>
            </div>
            <div class="layui-form-item">
                <label for="username" class="layui-form-label">
                    <span class="x-red">*</span>配送物流
                </label>
                <div class="layui-input-inline">
                    <select id="shipping" name="shipping" class="valid">
                        <option value="shentong">申通物流</option>
                        <option value="shunfeng">顺丰物流</option>
                    </select>
                </div>
            </div>
            <div class="layui-form-item">
                <label for="username" class="layui-form-label">
                    <span class="x-red">*</span>支付方式
                </label>
                <div class="layui-input-inline">
                    <select name="contrller">
                        <option>支付方式</option>
                        <option>支付宝</option>
                        <option>微信</option>
                        <option>货到付款</option>
                    </select>
                </div>
            </div>
            <div class="layui-form-item">
                <label for="L_email" class="layui-form-label">
                    <span class="x-red">*</span>发票抬头
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="L_email" name="email" required="" lay-verify="email"
                           autocomplete="off" class="layui-input">
                </div>
                <div class="layui-form-mid layui-word-aux">
                    <span class="x-red">*</span>
                </div>
            </div>
            <div class="layui-form-item layui-form-text">
                <label for="desc" class="layui-form-label">
                    商品增加
                </label>
                <div class="layui-input-block">
                    <table class="layui-table">
                        <tbody>
                        <tr>
                            <td>haier海尔 BC-93TMPF 93升单门冰箱
                </div>
                </td>
                <td>0.01
            </div>
            </td>
            <td>984
        </div>
        </td>
        <td>1</td>
        <td>删除</td>
        </tr>
        <tr>
            <td>haier海尔 BC-93TMPF 93升单门冰箱
</div>
</td>
<td>0.01</div></td>
<td>984</div></td>
<td>1</td>
<td>删除</td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="layui-form-item layui-form-text">
    <label for="desc" class="layui-form-label">
        描述
    </label>
    <div class="layui-input-block">
        <textarea placeholder="请输入内容" id="desc" name="desc" class="layui-textarea"></textarea>
    </div>
</div>
<div class="layui-form-item">
    <label for="L_repass" class="layui-form-label">
    </label>
    <button class="layui-btn" lay-filter="add" lay-submit="">
        增加
    </button>
</div>
<div class="layui-form-item layui-form-text">
    <label for="desc" class="layui-form-label">
        备注
    </label>
    <div class="layui-input-block">
        <textarea placeholder="请输入内容" name="desc" class="layui-textarea"></textarea>
    </div>
</div>
</form>
</div>
</body>
</html>